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Mortgage Application Questionnaire

Please fill in this questionnaire so that we may process your request. Thank you.

Please click the [no co-borrower] box if title to the property is only in the, or to be only in the borrower's name.

All data boxes must be filled in. If a question is non-applicable to either borrower please enter "n/a" in the appropriate data box. If a question is applicable to you, but you do not have the answer, please enter "unk" (meaning "unknown") in the appropriate data box.

All Questions Apply to Both the Borrower & Co-Borrower as applicable:

SECTION 1

      No Co-Borrower
    Borrower Co-Borrower
Full Name of Applicant(s) {First, M.I., Last}:  
Home Phone Number:  
Work Phone Number:  
Other or Cell Phone Number:  
Fax (work or home) Number:  
Email Addresses:  
Date of Birth:
(MM/DD/YYYY)
  / / / /
SSN's or TIN's:  
Select Languages each Applicant Speaks:   English
Spanish
Other
English
Spanish
Other
Form of Current Residence:   Own
Rent
Lease Op.
Own
Rent
Lease Op.
Marital Status:   Married
Separated
Unmarried
Married
Separated
Unmarried
Number of Dependants:  
Ages of Dependants:  
SECTION 2

The next series of questions apply in general to both Applicants (for your mortgage application):

Securing Property Address:
Securing Property City:
Securing Property State and Zip Code:
County (or Township) where Property is located:
Does Property have an HOA? Yes No
HOA Dues: per
Are there any HOA liens against the home: Yes No   Unknown   Amount:
The Securing Property is our: Primary Home
Secondary Home
Investment Property
Number of Years at Securing Property:   N/A if Purchase and not L/P
Will Title be Held in Applicants' Name? Yes No
Manner in which Title will be Held: S&S JTwROS CPwROS Other
If S&S, in whose name will title be held? Borrower Co-Borrower
Estimated or appraised value of Property:
If you seek purchase money financing, define the Contract Price of the property you wish to purchase: N/A
If appraised, date of appraisal, and can it be e mailed:   Yes No
Define the year built of securing property:
If you seek Purchase Money financing, how much cash do you intend to put down toward the purchase of the property: NA
If you seek to Refinance your existing financing, how much of a mortgage loan do you seek: NA
If you seek cash out financing, how much net cash would you like to receive at closing: NA
SECTION 3

The following questions only apply if you seek to refinance your property.
 
Is this application specifically for a refinance or junior lien financing:   Yes No
How many Mortgages (including any HELOC) exist against your securing property?   1 2 NA
Name existing 1st Mortgage Lender secured by this property:  
Mortgage Co. address:  
City, State & Zip:  
Account number:  
Current principle of 1st Mortgage:  
1st Mortgage Payment :   PITI P+I Int Only
Define 1st Mortgage Lender Service Phone #'s:  
Define 1st Mortgage type:   FHA VA Conv Priv
Is mortgate an ARM?
ARM: Adjustable Rate Mortgage
  Yes No
If ARM, when does it adjust next?   (mm/dd/yyyy)
Unknown
Does mortgage have a PPP?
PPP: Pre-payment Penalty
  Yes No
If PPP, when does it expire?   (mm/dd/yyyy)
Unknown
Name of existing 2nd Mortgage Lender secured by this property:   N/A
Mortgage Co. address:  
City, State & Zip:  
Account number:  
Current principle of 2nd Mortgage:  
2nd Mortgage Payment:   PITI P+I Int Only
Define 2nd Mortgage Customer Lender Service Phone #'s:  
Define 2nd Mortgage type:   FHA VA Conv Priv
Is mortgate an ARM?
ARM: Adjustable Rate Mortgage
  Yes No
If ARM, when does it adjust next?   (mm/dd/yyyy)
Unknown
Does mortgage have a PPP?
PPP: Pre-payment Penalty
  Yes No
If PPP, when does it expire?   (mm/dd/yyyy)
Unknown
SECTION 4

 
Define Securing Property's Annual Property Taxes: Unknown
Define Securing Property's Annual Property Insurance: Unknown
 
Mailing Address of Applicant: Click here if same as Secured Address
 
Mailing City, State & Zip:
County where Mailing Address is located:
Does Mailing Address have an HOA? Yes No
HOA Dues: per
Are there any HOA liens against the home: Yes No   Amount:
Our Mailing Address is our: Primary Home
Secondary Home
Investment Property
Do the Applicant's hold title to this mailing address? Yes No
Manner in which Title is Held: S&S JTwROS CPwROS Other
If S&S, in whose name will title be held? Borrower Co-Borrower
 
The below questions with asterisks (*) only apply if you are not a renter at your mailing address:
* Estimated or appraised value of Securing Property:
* Define the year built of mailing address:
* Define 1st Mortgage secured by this property: Lender
Pricipal Balance
PITI P+I Int Only
* Define 2nd Mortgage secured by this property: Lender
Pricipal Balance
PI Payment
 
Amortization Type of Mortgage Desired: Fixed Int Only ARM
Amortization Schedule Desired: 30 Yr 15 Yr Int Only
Type of Mortgage Applied for: FHA VA Conv Priv
SECTION 5

The next Questions Apply to Both the Borrower & Co-Borrower as applicable:

    Borrower Co-Borrower
Are you Self Employed:   Yes No Yes No
Principal's Primary Employer:  
Primary Employer's Address:  
Primary Employer's City & State:  
Primary Employer's Zip Code:  
Define Position/Title with Employer:  
Define Length of Time with Employer to the present:   Yr Mo Yr Mo
Define Length of Time in your Profession:   Yr Mo Yr Mo
Are you paid a Salary, or an Hourly Basis or Other?   Sal Hr Other Sal Hr Other
Detail your Compensation:  
Monthly Employment Income:  
Is Your Current Employment =< 2 Yr?:   Y N Y N
Prior Employer if Current job =< 2 Yr:  
Prior Employer's Address:  
Prior Employer's City & State:  
Prior Employer's Zip Code:  
Define Position/Title with Prior Employer:  
Define Length of Time with Prior Employer:   Yr Mo Yr Mo
Were you paid a Salary, or an Hourly Basis or Other?   Sal Hr Other Sal Hr Other
Detail your Compensation:  
Monthly Employment Income with Prior Employer:  
Define Other Miscellaneous Income:  
Amount of Other Misc. Monthly Income:  
SECTION 6

Please answer the following questions only if they are applicable:

Is either Applicant in a pending Bankruptcy?  
Yes No Yes No
Type of Bankruptcy applicant is in:  
Ch 7
Ch 13
Other
Ch 7
Ch 13
Other
Original filing date of current Bankruptcy:  
Has either applicant been in a prior bankruptcy in the past seven years?  
Yes No Yes No
What was your Discharge Date:  
How many outstanding auto loans you have?   1 2 NA
Define auto loan #1 Lender &...Account Number:   ...
Define auto loan #1 Monthly Payment &...Balance:   ...
Define auto loan #2 Lender &...Account Number:   ...
Define auto loan #2 Monthly Payment &...Balance:   ...
Do you have any credit card debt outstanding?   1 2 3 NA
Define credit card #1 Lender &...Account Number:   ...
Define credit card #1 Monthly Payment &...Balance:   ...
Define credit card #2 Lender &...Account Number:   ...
Define credit card #2 Monthly Payment &...Balance:   ...
Define credit card #3 Lender &...Account Number:   ...
Define credit card #3 Monthly Payment &...Balance:   ...
Do you have any other outstanding credit accounts?   Yes No
Define other account Lender &...Account Number:   ...
Define other account Monthly Payment &...Balance:   ...
Monthly Payment of your Present Rent or Mortgage:     Rent Mtg
SECTION 7

Please answer the following questions only if they are applicable:

Do you have a Checking Account?   Yes No
Define the Bank and Current Balance:  
Do you have a Savings Account?   Yes No
Define the Bank and Current Balance:  
Do you own Stock, Bonds, or other Securities?   Yes No
Net value: Unknown
Do you own a Business?   Yes No
Net value: Unknown
Do you own a vested interest in Retirement Funds?   Yes No
Net value: Unknown
Do you have any Life Insurance Policies?   Yes No
Net value: Unknown
Define estimated value of all your Personal Property:  
Define your owned auto #1 &...its current value:   ...
Define your owned auto #2 &...its current value:   ...
Define your owned auto #3 &...its current value:   ...
If you are applying for purchase money, define how how much of a cash down payment you will make:   NA
If you are applying for purchase money, define the amount of the mortgage you desire to qualify for:   NA
Do you pay or receive any child support?   Pay Rec NA
Do you pay or receive any alimony or spousal support?   Pay Rec NA
     


List any additional names under which credit has been previously been received by you:

    Borrower Co-Borrower
Additional Names:  
Creditor's Used under Other Names:  
Account Numbers Used under Other Names:  
SECTION 8

The next Questions Apply to Both the Borrower & Co-Borrower as applicable:

    Borrower Co-Borrower
Are there any outstanding judgments against you?   Yes No Yes No
Have you been declared bankrupt within the past 7 years?   Yes No Yes No
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?   Yes No Yes No
Are you a party to a lawsuit?   Yes No Yes No
Have you been obligated on any loan that resulted in foreclosure, transfer of title in lieu of foreclosure or judgment?   Yes No Yes No
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?   Yes No Yes No
Are you obligated to pay alimony, child support, or separate spousal maintenance?   Yes No Yes No
Is any part of the down payment borrowed (if applicable)?   Yes No Yes No
Are you a co-maker or endorser on any note?   Yes No Yes No
Are you a U.S. citizen?   Yes No Yes No
Are you a permanent resident alien?   Yes No Yes No
Do you intend to occupy the property you seek a loan on as your primary residence?   Yes No Yes No
Have you had an ownership interest in a property in the last 3 years?   Yes No Yes No
What type of property did you own?   PR SH IP PR SH IP
How did you own title to the home?   S SP O S SP O

Government Monitoring Section:
All questions must be answered by each applicant (if answer is no, click "No")

I do not wish to furnish this information:  
Ethnicity: Hispanic or Latino:   Yes No Yes No
Race: American Indian or Alaska Native:   Yes No Yes No
Native Hawaiian or Other Pacific Islander:   Yes No Yes No
Asian:   Yes No Yes No
White:   Yes No Yes No
Black or African American:   Yes No Yes No
Please define the Sex of Applicant:   M F M F

The next series of questions apply in general to both Applicants:

Please select the intent of our Mortgage Application:   Purchase Money
Construction Financing
Re-finance (no cash out)
Re-finance (cash out)
Re-finance (reduce debt)
Equity Funding
Short Term Bridge Loan
Reinstatement Funding
 
As an applicant for mortgage financing, whether under a full documentation or no documentation borrowing status, you will be required to supply certain support data in order to qualify for the financing you apply for. If you are applying for a "Stated Income and Stated Asset" program you must have a mid range FICO credit score of no less than 650. Such applications require limited documentation requirements. If you are applying for a "Full Documentation" loan program, your mid range FICO credit score only represents a portion of your loan application package.
Please indicate which loan application program you will submit:   Stated Full Doc

If you indicate that you are intending to submit a "Full Documentation" loan application you will need to supply the following information:

  • Two Months of Pay Stubs
  • W-2's for the last two tax years
  • Two months all bank statements
  • Last two quarterly Securities Statements from Brokerage if applicable
  • Documentation to support any of the following income if applicable:
    • Social Security
    • Pension or Retirement
    • Child Support
    • Spousal Support
    • Rental Property Leases
  • If self employed, last two tax years Federal Tax Returns
  • If self employed, 12 months of all bank statements
  • If self employed, last two quarterly Securities Statements if applicable

If you indicate that you are intending to submit a "Stated Income and Stated Asset" loan application you will need to supply the following information:

  • Evidence of ownership of any stated real estate or securities
  • Twelve months all bank statements
  • Last two quarterly Securities Statements from Brokerage if applicable
  • Documentation to support any of the following income if applicable:
    • Social Security
    • Pension or Retirement
    • Rental Property Leases
  • The above list is only for applicants who claim they are retired
  • If self employed, Last two tax year Federal Tax Returns

A representative of EPI Fund will ask you to supply, via fax or email, the above items as part of their first interview with you. Supplying the requested data in an expedited manner will ensure the fastest possible loan approval and closing.

SECTION 9

Final general questions that apply to both applicants as may be applicable:

For the securing property, who is/will be the property insurance carrier:

 
What is your insurance policy account #:  
What is your insurance Agents name & contact #:  
What are/will be your annual insurance premiums:   Estimate is Ok
Define the annual property taxes on the securing property:   Estimate is Ok
Is the securing property presently marketed for sale:   Yes No
Define what Realty Company is the listing broker:  
What is your listing agents name & contact #:  

If this is a securing property re-finance application and you are in arrears on your Mtg.:

Are you in arrears (behind) with any Mortgage:

  Yes No
Which Mortgage are you behind on:   1st 2nd
Number of missed payments:   1st 2nd
Are you in a pending foreclosure action:   Yes No   1st 2nd Both
If yes, define the pending foreclosure date on the 1st and, if applicable, 2nd Mortgage:  
Should your back payments be brought current, could You demonstrate the ability to stay current going forward:   Yes No
Define how you plan to repay the amount of your funding:  
Please provide EPI Fund with any other general data about the securing property, your employment, your derogatory credit history explanation, or any other data that will assist EPI Fund in processing your application. There is no limit to the length of your desired information.  
Please tell us the best time to call you:  
    Borrower Co-Borrower
I understand that I cannot be considered for any Mtg. Financing without verification of my FICO credit Scores. I hereby authorize EPI Fund to run a tri-merge Credit report on me. I further agree to reimburse EPI Fund for its cost should I get approved and agree to a financing program through EPI Fund.   Yes No Yes No
I understand that I make this application for financing in good faith and will fully cooperate with EPI Fund as it requires and requests to assist me/us in our pursuit for mortgage financing:   Yes No Yes No
Would you like to tell us about the property you are attempting to purchase or refinance or secure secondary financing on? If YES you will be taken to the Asset/Add page of EPI Fund. If NO you will have completed your Mortgage 101 Questionnaire:   Yes No

Manner in which Title will be Held

S&S:
If you will hold title as an unmarried man or woman, or if a spouse will not be holding title with the applicant.
JTw/ROS:
Joint Tenants with Rights of Survivorship. Please confer with your local Title Agency or counsel to determine if this form of ownership is suitable.
CPw/ROS:
Community Property with Rights of Survivorship. Please confer with your local Title Agency or counsel to determine if this form of ownership is suitable.
Amortization Type of Mortgage Desired

Fixed:
The interest rate will never change during the life of the mortgage.
Interest Only:
The interest rate never changes and the note does not have any amortization schedule. Generally such notes have a balloon payment provision.
ARM:
Adjustable Rate Mortgage: the Note will have a provision that will call for the interest rate to adjust on a defined periodic basis and based on a pre- determined index, margin, and adjustment limitation.
Type of Mortgage Applied For

FHA:
Federal Housing Administration. Federal Government insures the mortgage. There are restrictions in securing FHA financing including that such financing is generally for first time home buyers and there are loan limits for each region throughout the US.
VA:
Veterans Administration. Federal Government guarantees the mortgage. The borrower must be veteran eligible to apply. Such program is for purchase money financing only (no refinancing).
Conv:
Conventional. Every other type of financing available except for a privately funded mortgage. Generally Conventional financing comes from institutional lenders utilizing either government backed funding sources or their own deposits to fund their mortgages. There are generally substantial financing options for a borrower to choose from to secure their applied for financing based on their respective qualifying factors.
Priv:
Private. When conventional financing options are not available to a Borrower. Selecting for a private funding source does not guarantee approval. A borrower must qualify for what ever programs are provided by the private funding sources offered.
Detail your Compensation

Define all other forms of income you may presently receive, including the amount of that income per year or per month (e.g., bonuses, overtime, rental profit from investment property, stock dividends, interest income from security or notes, etc.)
Define Other Miscellaneous Income

Enter the amount of your monthly base income from any additional income such as overtime, rental, dividend, and any other income. Please enter the dollar amount and provide the detail of your miscellaneous income at the bottom of this application in the general information text box.
What type of property did you own

PR:
Personal Residence.
SH:
Second Home. This is not to be considered a rental property. Family Members living in the home can be considered a second home.
IP:
Investment Property.
How did you own title to the home

S:
Separate. Either as a single person or as a married person but as sole and separate.
SP:
With a spouse.
O:
Other. Examples could be as a Tenant in Common with a partner, in a Corporate entity, in a Trust, as an LLC, or some other form.
Ethnicity

Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."
Race

American Indian or Alaskan Native:
A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian:
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
White:
A person having origins in any of the original peoples of Europe, the Middle East, or North and South Africa.
Native Hawaiian or Other Pacific Islander:
A person having origins in any of the original peoples of H